Provider Demographics
NPI:1699330340
Name:LOWE, AMANDA ROTH (MS, CGC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:ROTH
Last Name:LOWE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 ASHLEY WOODS CT
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9333
Mailing Address - Country:US
Mailing Address - Phone:704-962-7817
Mailing Address - Fax:
Practice Address - Street 1:322 N 2200 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-2922
Practice Address - Country:US
Practice Address - Phone:800-469-7423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS